Gallstone ileus

Case contributed by Dr Chris O'Donnell

Presentation

Abdominal pain, no passage of wind and vomiting. Bowel obstruction?

Patient Data

Age: 60
Gender: Female
CT

A large stone of around 2 cm is sitting in the ileum with markedly distended proximal fluid-filled small bowel.  Note a fistula (inflammatory mass) between the thick-walled gallbladder and duodenum with gas in the gallbladder lumen.  All are features typical of gallstone ileus.

Case Discussion

Gallstone ileus occurs when a large gallbladder stone erodes into the duodenum via a fistula, eventually obstructing the ileal lumen usually some centimetres proximal to the ileocaecal junction.

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Case information

rID: 27955
Case created: 27th Feb 2014
Last edited: 3rd Nov 2015
Inclusion in quiz mode: Excluded

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